Trade Account Form Name * First Name Last Name Email * Phone * Country (###) ### #### Company Name * Position within Company * Address Address 1 Address 2 City State/Province Zip/Postal Code Country VAT Number (if known) Company Website What services are you interested in? Loose Gemstones Bead Strings Repairs and Outwork Other Company Information Social Profiles, Key Personnel, Alternative Email Address etc Application Confirmation * I understand that by submitting this form I am expressing interest in an account with JQV Gems. We will contact you with further information regarding finalising your account soon as well as occasional updates on JQV Gems. I Understand Thank you for completing this form, we will be in touch!